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0059 FORSYTH COURT
� �� ���r�� / III ,� i Assessor's map and lot number ._.il} .. ..7 . .. 7 O*THE t0 V ;2, Sewage Permit number ....... ....................................... d�Q O /+ ! j Z BAWSTABLE, i House number r - ... ...� ......................... t �-L» yo MAO oo, CEO MAv G�0 TOWN OF ' BARNSTABLE BUILDING INSPECTOR APPLICATION- FOR PERMIT TO < �`-s� ��r //i1 . .........�✓........................................................ TYPE OF CONSTRUCTION ............... ���'`���� � ...............I................. ... ........197 TO THE INSPECTOR OF BUILDINGS: The undersigned 1hereby applies for a permit according to the following information: Location ... / cS'ic'.S<j /r�......�.a.�/.t�.� ....... !.T(/�................................................ ........................... r ProposedUse ............................ ........................ . .... ............................................................ Zoning District .....................................Fire District { Name of Owner�—,,pe��!?x,/ V0 ✓Hd�,� Ad'dress � / i713 7o'�'s� .�S70,c/ ................................... C.........r..................... Name of Builder .•L'�/�,c/E` '.' fir' yPrJl'>t/•�d Z��:Address ��'S!l' f'✓>/fi.�!! /.... .. � . ............... i Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ................ ...........................................Foundation �_;,ex c..................................................... ExteriorCN/�l�c , �s .....................Roofing .... S .................... .......................r5- Floors f�l�c'Q/�/d 0Q/ e, F tv� i /rJ r .................................................................Interior ................ ......... ... �-- ....................... Heating ............................................ ............................Plumbing .................................................................................. { Fireplace_! .'.��c ......�.'..�'i�c..........`....`....:..... .Approximate Cost ... . © ?t ....................................... Definitive Plan Approved by Planning Board _______________________________19________. Area .......................... .....`....... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH LA F� 1 � r l , r �_ hereby agree to,conform to all the Rules and Regulations of the Town ofr•Barnstable regarding the above,. construction. - - Name .�,. ........... ..:�......... ......... v, ...................f� Stephain .__ ~ "David ^ . A=55-O2 No -..2],684.. Permit for �� . . � —.—�am i J.y......dwelling................................. � Location lnƒ� � 4� 5� Ct. � —..^. ..-.`"---..`==^."`----- � � ......................Qntuft............................................ � ' Owner .....Sta�h�y�.��m���.�D���d..SjDl���. ' | � . - Type of Construction | � ' Permit /L " Granted .....i...Se'pt......2.7........ig 79 � Date of Inspection Date [on`oeta6 � PERMIT/RIEFUSED ......... � --- .......... . ^ --.. ... ` .—° .=,-----.. � .......... ...... . ---~—.---.. ' '--'—^--'~�.—'---~'.--~—'^----^......... 'r Approved � ................................................ lQ -------'-------`''~^'----~---'' -------'------------^'^^^^—^'— ' � | RICHIE'S INSULATION INC. 111 OLD BEDFORD ROAD WESTPORT, MA 02790 508-678-4474 BUILDING DEPARTMENT TO WHOM IT MAY CONCERN: PLEASE BE ADVISED RICHIE'S INSULATION,INC. INSULATED THE FOLLOWING JOB: ADDRESS:, 1 1 Eo -�\14 14 TOWN• 664U4 CONTRACTOR'S NAME&INFO: l4 owe. Seruicvs THE FOLLOWING INFORMATION IS WHAT WAS USED ON THIS SPECIFIC JOB: MANUFACTURE: -Tcr-o v he TYPE C lQsrf-�('ell THERMAL CONDUCTIVITY PER INCH: Cn � AREA THICKNESS R-VALUE CEILING WALLS STAIRWELL BASE. CEIL GARAGE CEIL G.H. WALL CRAWL OVERHANG CATH. WALL CATH. CEIL W.O. WALL FOUND. WALL BLOCK/RUNN. SLOPES z 35 P/V THANK YOU VERY MUCH FOR YOU R.000PERATION IN THIS MATTER. IF YOU HAVE ANY FURTHER CONCERNS PLEASE CONTACT MY PHONE NUMBER. INSTALLER: RICHIE'S INSULATION, INC. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Mapes j�: Parcel_ Application # Health Division Date Issued Conservation Division Application Fe Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis - y Project Street Address �59 Emig►,n4 1?17 Village ram, �• � r Owner Address 5 r- 7f_ v 77� Telephone Permit Request Me �✓1�on. Le 14/� yttll�c0 T pt i9,*7X_ Nbdc,7 Z Iry v Aryo &-w --d 40ZW1, Al"_) 6&WCY a 043 :n2 aACY /ej. Square feet: 1 st floor: existing proposed 2nd floor: existing propose Total ne@ Zoning District Flood Plain Groundwater Overlay :72 F 'C") Project Valuation 0&0 Construction Type IRS . Lot Size Grandfathered: ❑Yes ❑ No If yes, attach s pporting'dbcumentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) t�, M Age of Existing Structure Historic House: ❑Yes ).No On Old King's Highway:❑Yes �_No Basement Type: �O Full Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new 1 Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size— Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size — Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION -(BUILDER OR HOMEOWNER) Name_` A1iVA SM-8pPr41- , - - Telephone Number ` Address IP14T-9 License 92& ��' ©z G`f 5 r Home Improvement Contractor# /D Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 2 SIGNATURE DATE J4/ ? / 13 FOR OFFICIAL USE ONLY ,y . 4' APPLICATION# DATEISSUED ' • . R x MAP/PARCEL NO. q r n ADDRESS i VILLAGE W- OWNER - R DATE OF INSPECTION: FOUNDATION FRAME INSULATION ® , 0 1 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL 'r GAS: ROUGH FINAL k} FINAL BUILDING DATE CLOSED-OUT ASSOCIATION PLAN NO. i i J-1 The CammOmvealth of Massachuse& D hnent o fIndustrial Acdd� �' Office-of Investigation .600 wirshington Street $ostQn,MA,UH 1 ww .masx.gov1&a Worlm& Compelssafim Insurmce A EU2V&Bmlder-d tctanslPh><mllers Aw icaut hformatim Please Print Imo'hiy Namry >t•! C w Address. 40I �.ylstawzi. Phone## �' `71 Are you an employer?Check the appropriate box: T �;�]I am a general contact"and I }�of project(required): 1.El I am a employer with g b. ❑New construction employees(fall an(lorpart-time)-* have hued the sub-camtractom 2 El I am a sole proprietor vrpaztnetc- fisted on the attached shaet 7- Remodeling ship and bare no employees Thesesob-vClntractoni have g- ❑Demolition arodnng for me in any capacity_ employees and have worms' 9. ❑Buildmg addition [No aorixrs'com siu p.nnancc Camp- ncv �'ed-] S. ❑ We are a corporation and its 10_❑Electrical repass or additions 3-❑ I am a homeow=doing all work officers have exercised then 11E]Plumbing repairs or additions xcyselfl [No Wes •gyp- right ofesemptiaaper MGL 12❑Roafrepairs insurance wed]I c.152,§1(4),and we have no employees.[No ' 13_❑Other comp-kmance ], Any appincaut fiat checksbox Pl mast rlso Ml outthe secfioabelowshaVias fiL&wudcea'wmPensatiMFoHcy iaiv1-3d0M- Hemeasvaea who submit this dEdn t iniEcstiag they in doing allwakamd then hat outside contnclols I submit a new afd-k indicst>Qo MMIL rCcatncoosThat chect thisbox mast attached sa additinoal s}xeet shoam thensme of�e soli coiatncEors and state whether ornuttbuse eofitiesha*�e employees. If the mib-cnatactoabase employees,t mmnsrpmvide%eeir warkeW comp.policy number. Iatn an employer thatisproviding workers'cotrrpensafivir irnsnrance for my ampkyom Belau is thepaMc-IT renal job s& it formafivn. lnsurance comp=y Nxme: �1-t!(M Policy or elf--ins Inc #�Ltl C. goo 7 o' of �� .�/3� BgiratiariDate: %Jz 9/ `f Job Site Address: r C /sta V'fT r€9 iclTsp: , T Attach a copy of the workets'compensation policy-dea:Iaration page(showing the policy number aid expiration date). Failure to seco=e coverage as required under Section 25A of MGL c-152.can lead to the imposition of criminal penalties of a fine up to$1,500.0D and/or one-year imprisonment,as well as cavil penaltiea in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator- Be advised that a copy of this statement maybe faded to the Office of Investigations of the DIA for irmumme coverage verification- _.. ._ ..... ._. ..._.._....... ..---...._._ ._ _. . ...._. . _. .... ...............-- ----._..._._ - - -Ida hereby ;fy under, a 'ns art pepaw, thatthe it forestal anproyfi 'abouris6ue and correct Sism 1 �de� Bate 7 3 Phone i-Co T 7 l Quicid uses aril,} Do not grits in this wren,to bit completed by cify orImm vffzkt City or Town: Pc maucense g IssaingAatEmriiy(circle one): L Board of Hoa M 2.Building Department 3.Cit)Yre m Clerk 4.Electrical Inspector S.PlEambi!ng Inspector 6.Other Contact Person: phone#: 6 6Y SdQ Comer► r�e.5 �j AMO?9f rIA7-le- r ' . ` �� e Town of Barnstable* Ilk �: Regulatory Services Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 _ Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder r 1, 44 l �d , as Ownet of the subject property hereby autho:d=6 29L 67640n2W4/ to act on my behalf, in 0 matters relative to work authorized by this buildingpei=t (Addtess of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are ppdYtmed and accepted. S tut of vn Signatute of Applicant e F e Print Name Print Name Da QYORMS:OWNERPERMESIONPOOLS 612012 Town of Barnstable Regulatory Services Thomas F.Geller,Director try 0 Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINTITON OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends.to reside,on which there is,or is intended to be;a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two=year period shall not be considered a homeowner. Such"homeowner shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner " t Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building.Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This-lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. C:\Usets\decoUWAppDatalLocalM=soft\wmdom\Tempomry IntemetFflcs\ContentOudook\QREWJBNOaTESS.doe Revised 053012 ✓17� C/JO7ILl1tlYJxC(l6d.L(./t �i�� trCYjP .� 33 Office of Consumer�Slfait�&B s�uess egulanoo I t�^nee o� ee91stratol� and,for tnttrvidul use only HOMEIIVIPROVEMENTCO�TRACTOR ' befoie.ne :, iratioie p date It found return to Registration 191fi68 Type (3ftice of Consumes staff r�and Business Regulation Expiration'- 6126120`,4Suife SI.7f) HO SERVICES CO IPA]yY Boston, E t .1 Walter Slaboden 10 SALT RIVER RD, FALMOUTH MA 025300, 6 — _y Undersecretary Not Valid wttho ut signature Massachusetts -Department of Public Safe ty_ Board of Building Re ulations and 9 Standards Construction Supen-isor I &2 Family License: CSFA-052649 ;. WALTER A SLABdDE 10 Ironwood Path. Mashpee MA 02649 "' M �c ✓.�... J1 ,rr4, Expiration Commissioner 11/11,2014 4,/z, `v TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 6) Parcel Q' rnit, 0 6 2 6 LE Health Division ' s i L" �- ���� 0ri L-Y ZOt'�"N -Date Issued l 3 Conservation Division 3 FFeeP 1' 3144 / Tax Collector --�_�� /Cl�//U�f t� Treasurer G`�JOSI - Planning Dept.--WA SEPTIC SYSTEM MUST EE INSTALLED IN COMPuANC Date Definitive Plan Approved by Planning Board NTH TITLE 5 Historic Elffl" [MENTAL C002 ANa OKH r4 �_Preservation/Hyannis TC VWI REGULA TJOO,;g Project Street Address 3, y / ff Cog r Village a l 7' Owner �iQ �'�L�� EFC� Address 9,-�4 Telephone Permit Request � Z,GI� 2 0Z..6;z9 D USA Square feet: 1 st floor: existing proposed / 2nd floor: existing O proposed �7 2 Total new Valuation Zoning District )fir J Flood Plain /J A Groundwater Overlay J A Construction Type 6c1ddL2 1F-4 Al Lot Size •S//A c-'-6- Grandfathered: ❑Yes XNo If yes, attach supporting documentation. Dwelling Type: Single Family X Two Family ❑ Multi-Family(#units) Age of Existing Structure ac:? 9-5, Historic House: ❑Yes ANo On Old King's Highway: ❑Yes ANo Basement Type: A Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) b' Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing Z new Number of Bedrooms: existing new �ir o ie-3 I bstrox W/ � 2- ��r� Total Room Count(not including baths): existing new�_ First Floor Room Count 1J Heat Type and Fuel: ❑Gas ❑Oil �(Electric ❑Other Central Air: ❑Yes �J No Fireplaces: Existing New d Existing wood/coal stove: ❑Yes ,O No Detached garage: ❑existing ❑new size N Pool:❑existing ❑new size /i/A Barn:❑existing ❑new size Attached garage:;1 existing ❑new size Shed:❑existing ❑new size /� Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ANo If yes, site plan review# Current Use X&,�51yc-,(j 6�6- Proposed Use BUILDER INFORMATION Name F/3 �D�� 5 4,50AJ I VC Telephone Number Address c ✓� �� y5-rxea7 License# vwl Home Improvement Contractor# /y x® Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO c � SIGNATURE I FOR OFFICIAL USE ONLY 'F PERMIT NO. DATE ISSUED .` MAP/PARCEL NO. ' r • a ADDRESS n VILLAGE OWNERFSF DATE OF INSPECTION: FOUNDATION FRAME INSULATION. , OK 6PeS 3 � FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH i FINAL - FINAL BUILDING !�U131* 1 ra ' DATE CLOSED OUT ASSOCIATION PLAN NO. r.. - - 1 I RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE o _} New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET LIVING SPACE S�l - -� �'7 square feet x$96/sq.foot= x .0031— plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq. foot= x .0031= plus from below(if applicable) t ACCESSORY STRUCTURE>120 sq.1t >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75:00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq. foot= x'.0031= STAND ALONE PERMITS t Open Porch x$30.00= �'4 (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= A) ,4 (number) . Inground Swimming Pool $60.00 /� Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) n �� Permit Fee O� projcosc BAR ,,,ST,BLF- The Town of Barnstable 9� 16,39. `0$ Regulatory Services A �1E0 MAC Thomas F. Geiler, Director Building Division Ralph Crossen, Building Commissioner r 367 Main Street,Hyannis MA 02601 Office' 508-862-4038 - Fax:, 508-790-6230 Permit no. Date l ,161 AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than-four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: V Estimated Cost 60 4 Address of Work:_ F'0 A- Z-H d oop—T ; ' d T6) 67 Owner's Name: � f/r J9 t3! ,(4[,+"o Date of Application: I hereby certify that: Re-2istration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: IZ6 ,0 Date Contractor Name Registration No. OR Date Owner's Name q:fonns:Affidav SIMLAR:RPT . t I MAscheck COMPLIANCE REPORT Massachusetts Energy Lode i Permit # MAScheck software version 2.0 checked by/Date I CITY: Hyannis STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 1-6-2003 DATE OF PLANS: TITLE: COMPLIANCE: PASSES Required uA = 135 Your Home = 116 Area or Insul sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------- CEILINGS 672 38.0 0.0 20 WALLS: wood Frame, 16" o.C. 832 15.0 3.0 56 GLAZING: windows or Doors 100 0.400 40 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable standard Design Conditions found in the code. The HvAc equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in sections 780CMR 1310 and 34.4. g � a ,� Ls /� �e3 Builder/besi ner Date a MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck software version 2.0 DATE: 1-6-2003 Bldg. I Dept. I use CEILINGS: [ ] 1 1. R-38 comments/Location WALLS: [ ] I 1. wood Frame, 16" O.C. R-15 + R-3 comments/Location WINDOWS AND GLASS DOORS: . Page 1 SIMLAR.RPT [ ] I I. U-value: 0.40 I For windows without labeled u-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location I AIR LEAKAGE: C ] I Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. Recessed I lights must be type IC rated and installed with no penetrations I or installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER' [ ] I Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. I MATERIALS IDENTIFICATION: [ 7 I Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating a ui ent must be provided. insulation R-values and glazing u-values must be clearly. I marked on the building plans or specifications. I DUCT INSULATION: [ ] I Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-8.0. I DUCT CONSTRUCTION: C ] I All ducts must be sealed with mastic and fibrous backing tape. I Pressure-sensitive tape may be used for fibrous ducts. The HvAC . system must provide a means for balancing air and water systems. I TEMPERATURE CONTROLS: [ ] I Thermostats are required for each separate HvAC system. A manual I or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. I HVAC EQUIPMENT SIZING: [ ] ( Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified in sections 780CMR 1310 and 74.4. MISC REQUIREMENTS: [ 7 I Refer to 780 CMR, Appendix 7 for requirements relating to swimming I pDols, HVAC piping convelo ng fluids above 120 F or chilled fluids I below 55 F, and circulating hot water systems. ----NOTES TO FIELD (Building Department use only)-------------------- ---- Page 2 . .J�LP. .1/J(YIJLJ9t0'IZCU'ULLL/L O�✓%��,LLdJQ.ULU"dP.�7 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 015851 Birthdate: 09/28/1953 Expires: 09/28/2003 Tr.no: 5619 Restricted: 00 - CRAIG N ASHWORTH 385 SEA STREET HYANNIS, MA 02601 Administrator _ 4 � . a Board of Building Regulations and Standards �N .•°'a One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Q tractor Registration g Registration: 102014 "jf� _µ f' I �' -V Type: Private Corporation a Expiration: 6/30/2004 ERNEST B. NORRIS & SON INC Craig Ashworth £,F 385 Sea St � �� I Hyannis, MA 02601A; "'�16 - Update Address and return card. Mark reason for change. _. i� Address n Renewal I—I Employment j--1 Lost Card lie o�✓��aaaac/ucae��a i Board of Building Regulations and Standards s License or registration valid for individul use only = HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration' 7102014 Board of Building Regulations and Standards { " ' One Ashburton Place Rm 1301 Expiration 6/30/2004 Boston,Ma. 02108 ; Type: Private Corporation j ERNEST B. NORRIS&SON]NC - Craig Ashworth j 385 Sea St Hyannis;'MA 02601 _ nipstr�tnr of valid without si nature l/1 C' C i7l111Iloll x'CQIf/1 fJ 4IA7SSQC1l u.SCrfS Deporfmcnl of IjJdustrirrl AccJdrna �,,. ;� _-.; � :• Onlcedlla�rstl9atlorrs :f �•� :;.,� Boston,Af= 02111 _ Workers' Compca mtkon Insurance AMdavit ❑ I am a homeowner performing all work:myself. nhnne. ❑ 1 am a solo ric for Pro and P have no one working m,,,... n _ 'any cap acity �X 1 air an employer providing workers' compensation for my employca woti;ing on this job. ERNEST B. NORRIS & _ nm SON, INC. 385 SEA STREET PsLdtc��• .. HYANNIS — 508-275-0457 .' • ' STERN CASUALTY INSURANCE CCMPANT' ' `nun•• .,y WCG 1000807 A ;•: _ ❑ l am a sole proprietor, general contractor, or homeowner(circle one) and have hind the contractors list e ow wi the following workers,compensation polices.• rnmnan�•n�mc• ..•. V. nhenr•rf• • nhenr rf• . `u a eo Helier{i — �+tt �_:Jdldoasfsheetfrireeass <,� ...... ...,ram;• ••.. F.tlnre to sccorr coscr3;e xi requrml under Section 1SA crAtCL 13:C30Iad to the imparidon ofcrimimAj one l e2r"Imprisonment its WC11 as civil penalilts in the form ofx STOP IYORK ORDER a°d a llae of SIDD.Otl a dtr apt ast mme, I tsd.500 c cop, of this statement mad be forxsrded to the Office of Iarest"Astions of the DIA for cotcr:n ttriIlattioa- !do lrerrbr ccrrlfj•unrlcr rlre pains and p duct ejprrjun-rher the infonrszriert protidtd a�os•e it trot and earrrzL Sicrstur; air Pei'lt none CRAIG N. ASHWOR?fi �, 508-775-0457 oae olltcia•wt oah' do not irrite is ibis arrx to be evraplcicd by dry orto„a onlas! cif cr torn: pernit/1lcrase rY RS°ildla-,Dep:rment ❑ check irlmmce;zte rvpnnse is rrquired •• 13U=sjr;,D=r•d _-- --_—_ -- _ QSdectan's OMCC t7l1oltb Drrsrment Property Location: 59 FORSYTH COURT MAP ID: 055/062/ Vision ID:3574 Other ID Bldg#: 1 Card 1 of 1 Print Date: 11/20/2002 10 : :., , w. '= :. :_i .#Y. . m'-, ..` �w.. xe vUNS... ;z x,. ...,.�.,...u... :s5? i+.'._ ..�n ,.Y.;'...:...: .x ,. :._.. .., ,s .H:. �"�a.' o,;:�ss�:s.r �;,.e>� +�'�g'w. 'd3�,�,,.,s �cr ` ;�& �",n�e �n., Element escnpdon ommerera ata ements . . _ . ..r ..,. Sty Stye/Type at emen escrtpnon odel 01 Residential ea rade + Average Grade Frame Type tones 1.4 Baths/Plumbing Story F A ,. ccupancy 0Ceiling/Wall ooms/Prtns Exterior Wall 1 4 Wood Shingle /o Common Wall Roof Structure 13 ablhe/Hip all Height BAS : 0 BAS. Roof Cover 3 sph/F Gls/Cmp 6 BMT 2 BMT 3 y BAS 2 '., _< Interior Wall 1 5 rywall emeni Code Description actor 12 BMT 1 nterior Floor 1 12 ardwood omp ex 2 7loor Adj 16 2 GAR 2 nit Location 17 up 1b Heating Fuel D4 Electric Heating Type 9 Typical umber of Units , 25 16 C Type 01 None Number of Levels %Ownership - - - 22 Bedrooms 2 Bedrooms Bathrooms 1 1 Bathroom h r F < 0 Full .;,' ,,.� Total Rooms 5 5 Rooms Unadj.Base Rate 60.00 Size Adj.Factor 1.02933 ath Type Grade(Q)Index 1.05 Kitchen Style Adj.Base Rate 64.85 Bldg.Value New . 127,690 Year Built 1980 . ff.Year Built (A)1988 rml Physcl Dep 12 uncnlObslnc 0 �0"M 3con Obslnc 0 Code escn lion Percentage pecl.Cond.Code lulu mg a am peel Cond% i verall%Cond. 88 eprec.Bldg Value 112,400 >` ��x wTVA Code Description LIB Units . nit Awnce Yr. DpMt o n pr. Value Fireplace , i g _ s aka ..: ,._, o e i Description LivingArea ross Area Lff.Area Unit Cost unaeprec. Value First oor BMT Basement Area 0 ' ,.'1,484 `:`�297 12.98 19,260 FOP Open Porch 0 96 '' 19 12.83 1,232 GAR Attached Garage 0 484 169 22.64 10,960 t ross LivlLease Area g Val: I , Property Location: 59 FORSYTH COURT MAP ID: 055/062/// , Vision ID:.3574 Other ID: Bldg#: 1 Card 1 of 1 Print Date:11/20/2002 10:07 Description (;Ode Appraised Value Assessedd v value ENO,STEPHEN A IWO - 10 IRVING RD RESIDNTT, 1010 115,000 115,000 801 ESTON,MA 02193 Barnstable 2003,MA account an Ref. Tax Dist. 200 Land Ct# er.Prop. #SR VISION Life Estate DL 1 LOT 43 Notes: DL 2 .. GIS ID: 3574 To tall u WPMM� wft<S.aA.V_ ,aaa�.,+4.�,.�. .,v...���x�t,as.ax-.s ".... A'+..yt .�<,,.a.,.,.§r,r.�� -swe.,..�.Ma._u. ��Y?an _ ,vr,y,.�z.<.. ..M + _a a. .rt�.4,'�aF[.;4a,•st.._. _.ayw�,tt",a,�as':m.. .._,_,,e:..�. a _ze ., °•. .. �..:. r. Code ASSeSSea value Yr. GOde ASSeSSea value Yr. CodeASSeSSea value 2002 1010 1159000 2001 1010 115,000 000 1010 121,000 �<. �<:.. 'A Al _.s.r .. ',..... r: a H '' is signature acknowledges a visit y a Data Collector or Assessor Year p escription Amount Code Description Number Amount Comm.Int. Appraised Bldg.Value(Card) 112,400 Appraised XF(B)Value(Bldg) 2,600 ti o a: Appraised OB(L)Value(Bldg) . 0 Appraised Land Value(Bldg) 126,700 Special Land Value Total Appraised Card Value 241,700 Total Appraised Parcel Value 241,700 Valuation Method: Cost/Market Valuation et TotalAppraised Parcel Value 241JU0 ,�,`w' Permit Issue ate type escription Amount <Insp.Date o Comp. Date Comp. Comments Date Lu Ca. urpos <.P esu t q4 , r ...,... H, .,. ..r. _ .'...Tei .h°N'? '3',., 0 2.f...a>:'4. i_ :.. o'i< ,� a`•t. 1... .. _.. .,..L. <:; ,, ,, x<, '"' tl Y i. �_._ .,,. ,...__,..v��s" t'ar .,��s.<..a� ?,., °��•. ",,;1...• . :.���<� t�_ �i,:w., .� �"" •' a.,,..:s:-�-' <>. �5,: :''. ..`"' <�<f 119 Use Go de Description one rontage Depthnits nit rice actor actor Now. I Aaj. Notes-AdjI.5pecial Pricing Adj. Unit Price LLand Value Single FamUIU)No_Fes__TffT1E1LI1G_ total ar an VA'AU.811ACI Parcelo a an rea: 6al Landa u 126,7UU i NEW SMOKE DETECTOR REQUIREMENTS . ARE NOW LAW. EVEN THE ADDITION OF A NEW BEDROOM WILL TRIGGER AN UPGRADE OF THE SMOKE DETECTOR V" ` FOR THE WHOLE HOUSE. YOU �Af•9 i I PLAN ACCORDINGLY AND HAV t. , �r,> ELECTRICIAN TAKE OUT THE APPR0F" i PERMIT AT THE FIRE DEPARTMENT. "MOKE DETECTORS O.K. I I BARNSTA866 8069INO 0 P e — - : Il'.G Q2 v ;1 —Km . uT caoT AKcNl-AepVa•Cr BIEGG.S.o✓t2 I TW 2444 9 7�iJ219G 3 j / _ _k— coy —u_ I \ r 3 i-4 Co i� a _ +' ti t iLL A Al Li I . .: .vaur..ryr•'--s,�-'��-. . � + .� ;�. �. >.... .. ., ...__ ..•. ;;3 _ _ "X"eZ-_�_2n,2 ib a_ 5 N ,y i ...,• $ fr. 17 t r11 T ea 8 W STANDARD LEGEND \ NOTE:not all symbols will appear on a map \ GOLF COURSE FAIRWAY \ \ Olt"_ � EDGE OF DECIDUOUS TREES EDGE OF BRUSH ORCHARD OR NURSERY i' V-V-T-V EDGE OF CONIFEROUS TREES W Ma MARSH AREA L \ \ T- r 46 � �. _ � — ' ' ' — EDGE OF WATER ti a ' DIRT ROAD Z r i i :e � r � - -=--�=_DRIVEWAY Ma 5 E—PARKING LOT i PAVED ROAD DRAINAGE DITCH s i ( # 5 a �, i - - - - - - PATH/TRAIL f � � � ' ' PARCEL LINE W Z ., :, # 501 ►�ttoF--MAP# ` 21F—PARCEL NUMBER O X #tebo= HOUSE NUMBER 2 FOOT CONTOUR LINE a 5 10 FOOT CONTOUR LINE io Elevation based on NGVD29 4.9 SPOT ELEVATION \ \ �, O -- --- - o0o STONE WAIL \ \ ,� -X—X- FENCE RETAINING WALL V. + RAIL ROAD TRACK 0 - - � STONE JETTY Ma 55 ' Z ------ - z{LL� � \ � � �- �, � � �ry � � SWIMMING POOL O --- - -- 940 ,,- PORCH/DECK R rY �\ -- BUILDING STRUCTURE a'`°f \� Q 525�� , DOCK/PIER HYDRANT e VALVE O MANHOLE F o POST Q� FLAGPOLE T O W .N O F B A R N S T A B L E G E O G R A P H 1 C 1 N F O R M A T 1 O N S Y S T E M S U N 1 T N PRINTED SCALE: IN FEET *NOTE: This ma is an enlargement of a **NOTE: The parcel lines are only graphic representations DATA SOURCES: Planimetrics man-made features were interpreted from 1995 aerialphotographs b The James 0 SIGN ® STORM DRAIN P 9 P V 9 P P ( ) P V 1"=100'scale map and may NOT meet of property boundaries. They are not true locations,and W.Sewall Company. Topography and vegetation were interpreted from 1989 aerial photographs by GEOD UTILITY POLE tt TOWER vv E 0 50 100 National Map Accuracy Standards at this do not represent actual relationships to physical objects Corporation. j'lanimetrics,topography,and vegetation were mapped to meet National Map Accuracy Standards l INCH — 50 FEET * enlarged scale. on the map. at a scale of I 100`` Parcel lines were digitized from FY2003 Town of Barnstable Assessors tax maps. � LIGHT POLE O ELECTRIC BOX --m-77777, -77-: 'o- 7—7 77 Pq F. 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